NPI | 1437575107 |
---|---|
Doing Business As | MERRELL FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | LUCAS WEST MERRELL Dentist 704-857-6161 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2014-03-05 |
Last Update Date | 2014-03-05 |